非手术牙周治疗前后的自我效能感与口腔健康相关生活质量的研究

王丹; 张俊晓; 徐丽; 赵晨; 廖圣恺

doi:10.13898/j.cnki.issn.2097-5252.2025.02.016

非手术牙周治疗前后的自我效能感与口腔健康相关生活质量的研究

Study on the relationship between the self-efficacy before and after non-surgical periodontal treatment and oral health-related quality of life

摘要

摘要:
目的探讨非手术牙周治疗前后牙周炎病人自我效能感和口腔健康相关生活质量(oral health-related quality of life, OHRQoL)的关系及变化。
方法采用口腔保健自我效能感量表和口腔健康影响程度量表, 对64例牙周炎病人进行治疗前及治疗后的问卷调查, 并分析各变量间的相关性。
结果非手术牙周治疗后自评口腔健康评分为3(2, 3), 治疗前评分为2(2, 3), 治疗后评分高于治疗前, 差异有统计学意义(P < 0.01);非手术牙周治疗后OHIP-14总分以及心理不适、身体残疾、社交障碍和社会功能障碍维度得分, 牙周参数CAL、PD评分均低于治疗前, 差异有统计学意义(P < 0.05~P < 0.01);治疗前后自我效能感和口腔健康影响程度量表评分均呈负相关(治疗前r_s=-0.654, P < 0.01;治疗后r_s=-0.532, P < 0.01)。
结论非手术牙周治疗可显著改善病人的OHRQoL。口腔保健自我效能感对改善牙周炎病人初次非手术牙周治疗后OHRQoL具有重要意义。

Abstract:
Objective To investigate the relationship between self-efficacy and oral health-related quality of life(OHRQoL) in patients with periodontitis before and after non-surgical periodontal treatment.
Methods A total of 64 patients with periodontitis were investigated by oral health self-efficacy scale and oral health impact scale before and after treatment, and the correlation among the variables were analyzed.
Results After non-surgical periodontal treatment, the OHRQoL score3(2, 3) was higher than that before treatment2(2, 3)(P < 0.01).After non-surgical periodontal treatment, the total score of OHIP-14, scores of the psychological discomfort, physical disability, social disorder and social dysfunction, and scores of the periodontal parameters CAL and PD were lower than those before treatment(P < 0.05 to P < 0.01).There was a negative correlation between self-efficacy and oral health impact scale scores before and after treatment(r_s=-0.654, P < 0.01 and r_s=-0.532, P < 0.01).
Conclusions Non-surgical periodontal treatment can significantly improve the OHRQoL.Oral health self-efficacy plays an important role in improving OHRQoL in patients with periodontitis after initial non-surgical periodontal treatment.

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